Derrick Clark, PHD

ActiveIndividual ProviderPsychologist
NPI issued: September 7, 2006

Quick Facts

NPI Number
1568566917
TypeIndividual
StatusActive
SpecialtyPsychologist
Taxonomy103T00000X — Psychologist
Phone
(831) 475-3231
StateCA

NPI Validation Status: Verified

Valid 10-digit NPI number (1568566917)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (September 7, 2006)
Data source: CMS NPPES

Provider Overview

DERRICK CLARK, PHD is a Psychologist provider based in Santa Cruz, CA who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1568566917
Provider TypeIndividual Provider
GenderMale
CredentialPHD
StatusActive
Enumeration DateSeptember 7, 2006

Practice Location

CitySanta Cruz
StateCA
ZIP Code95065-1527
Phone(831) 475-3231

Specialties & Licenses

★ Primary
SpecialtyPsychologist
Taxonomy Code103T00000X
License StateCA

Mailing Address

CitySanta Cruz
StateCA
ZIP Code95065-1527
Phone(831) 475-3231
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1568566917 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1568566917for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

👤

For Patients

Share NPI 1568566917 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Psychologist

Specialists in Psychologist provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

📊
57,018
Psychologist Providers in the US

Similar Providers in Santa Cruz

William Falzett, PH.D

📍 Santa Cruz, CA 95060-1976

Jennifer Joy, PHD

📍 Santa Cruz, CA 95060-1925

Gregory Katz, PH.D

📍 Santa Cruz, CA 95065-1527

Carmen Berteaux, MA MFT

📍 Santa Cruz, CA 95060

Sanji Coutts, PHD

📍 Santa Cruz, CA 95065

Greg Bruno, PH.D AND LCSW

📍 Santa Cruz, CA 95060-4535

Other Healthcare Providers in Santa Cruz

Miki Joy, M.D

Family Medicine

Bay Eye Medical Group Inc

Specialty not listed

Eye Care Medical Group A Professional Corp

Specialty not listed

Rex Hsei, MD

Ophthalmology

Craig Blackwell, MD

Ophthalmology

Stephan D. Plager, Md, Inc.

Specialty not listed

People Also Ask

What is Derrick Clark's NPI number?
Derrick Clark's NPI number is 1568566917, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Derrick Clark's NPI currently active?
Yes, Derrick Clark's NPI status is Active as of the latest CMS NPPES database updates.
What does Derrick Clark specialize in?
Derrick Clark specializes in Psychologist. The healthcare taxonomy code associated with this specialty is 103T00000X.
Where does Derrick Clark practice?
Derrick Clark practices in Santa Cruz, CA 95065-1527.
When was Derrick Clark's NPI issued?
Derrick Clark's NPI was issued on September 7, 2006.
What is Derrick Clark's provider type?
Derrick Clark is registered as an Individual Provider under CMS NPI Type 1.